Organization Active NPI

Granby Internal Medicine PC

  • Internal Medicine Physician
  • Norfolk, VA
National Provider Identifier
1326067364
Registry record updated Nov 27, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
GRANBY INTERNAL MEDICINE PC
Practice address
110 Kingsley Lane
Suite 309
Norfolk, VA 23505
Phone
(757) 889-2006
Fax
(757) 889-6559
NPI assigned
Jul 19, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 27, 2009

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
William N Hovland, MD
Title
Co Owner President
Phone
(757) 889-2006

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

110 Kingsley Lane
Suite 309
Norfolk, VA 23505

Mailing address

110 Kingsley Lane
Suite 309
Norfolk, VA 23505
Phone (757) 889-2006

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1153267200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1259280000000",
    "number": "1326067364",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 KINGSLEY LANE",
            "address_2": "SUITE 309",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "23505",
            "telephone_number": "757-889-2006",
            "fax_number": "757-889-6559"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 KINGSLEY LANE",
            "address_2": "SUITE 309",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "23505",
            "telephone_number": "757-889-2006",
            "fax_number": "757-889-6559"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRANBY INTERNAL MEDICINE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-19",
        "last_updated": "2009-11-27",
        "status": "A",
        "authorized_official_last_name": "HOVLAND",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "CO OWNER PRESIDENT",
        "authorized_official_telephone_number": "757-889-2006",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Norfolk, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.